Provider Demographics
NPI:1437575834
Name:SPECIALTY DENTAL PARTNERS OF OHIO INC
Entity type:Organization
Organization Name:SPECIALTY DENTAL PARTNERS OF OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHIAPARELLI
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIAPARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-800-8040
Mailing Address - Street 1:136 4TH ST N STE 201
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3889
Mailing Address - Country:US
Mailing Address - Phone:727-800-8026
Mailing Address - Fax:727-304-3164
Practice Address - Street 1:3140 DUSTIN RD
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-4341
Practice Address - Country:US
Practice Address - Phone:419-329-4545
Practice Address - Fax:419-698-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty